A 17-Year-Old Girl Is Brought to the Office for Evaluation

A 17-year-old girl is brought to the office for evaluation of a left foot mass. She noticed swelling on the top of her foot approximately 3 months ago but said that it did not bother her until she was teased about it in school. She has no other concerns. Examination shows a nontender, rounded mass on the dorsum of the foot that transilluminates with a penlight. An image of the mass is shown below: as shown in the exhibit. 
The lesion transilluminates when a penlight is applied to it.  Without treatment, which of the following is most likely to occur in this patient?

A) Bloodstream infection
B) Continued crystal aggregation
C) Foot paralysis
D) Malignant proliferation
E) Spontaneous resolution

Correct Answer:

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